A small percentage of health care providers, agents, and policyholders/individuals intentionally deceive or misrepresent themselves knowing their deception could result in an unauthorized benefit to themselves or another person. This is called insurance fraud, and it’s not a victimless crime. It may result in higher prices for goods and services or job loss due to financial burdens placed on employers.
Each year insurance fraud costs all types of insurance companies and their customers:
Insurance fraud can take many forms:
We are continuing to improve our efforts in our fight against insurance fraud through training, early detection, and prevention.
Our company takes the fight against fraud very seriously. Our Special Investigative Unit’s (SIU) primary responsibility is to carefully review and investigate all suspected fraud referrals. If fraud is suspected, SIU will cooperate with state insurance departments, fraud divisions, and local law enforcement for the prosecution of fraud cases.
We believe our policyholders play an important role in the detection of fraud. Here are some ways you can help prevent fraud:
If you suspect someone may be committing a fraud against our company, you can:
And please provide the following information:
All calls and website inquiries will be handled discreetly and confidentially.
Thank you for your efforts to combat insurance fraud.
Last published June 2023